Pathology Synthesis of 3D-Consistent Cardiac MR Images using 2D VAEs and GANs

We propose a method for synthesizing cardiac magnetic resonance (MR) images with plausible heart pathologies and realistic appearances for the purpose of generating labeled data for the application of supervised deep-learning (DL) training. The image synthesis consists of label deformation and label-to-image translation tasks. The former is achieved via latent space interpolation in a VAE model, while the latter is accomplished via a label-conditional GAN model. We devise three approaches for label manipulation in the latent space of the trained VAE model; i) \textbf{intra-subject synthesis} aiming to interpolate the intermediate slices of a subject to increase the through-plane resolution, ii) \textbf{inter-subject synthesis} aiming to interpolate the geometry and appearance of intermediate images between two dissimilar subjects acquired with different scanner vendors, and iii) \textbf{pathology synthesis} aiming to synthesize a series of pseudo-pathological synthetic subjects with characteristics of a desired heart disease. Furthermore, we propose to model the relationship between 2D slices in the latent space of the VAE prior to reconstruction for generating 3D-consistent subjects from stacking up 2D slice-by-slice generations. We demonstrate that such an approach could provide a solution to diversify and enrich an available database of cardiac MR images and to pave the way for the development of generalizable DL-based image analysis algorithms. We quantitatively evaluate the quality of the synthesized data in an augmentation scenario to achieve generalization and robustness to multi-vendor and multi-disease data for image segmentation. Our code is available at https://github.com/sinaamirrajab/CardiacPathologySynthesis.